Individual
MS. KIMBERLY LYN MINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, MAC
Contact information
Practice address
601 W MAIN ST, SPARTANBURG, SC 29301-2105
(864) 363-0063
(864) 542-2324
Mailing address
108 FAIRVIEW LAKE WAY, SIMPSONVILLE, SC 29680-7144
(864) 363-0063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6240
SC
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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